Peterson, Jeffrey
Peterson, Jeffrey is an individual health care provider with primary practice located at 17735 Xylite St Ne , Ham Lake MN 55304-4436. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Peterson, Jeffrey can be contacted via phone (763) 213-2033.Contact Information
Primary practice address
17735 Xylite St Ne
Ham Lake MN 55304-4436
Phone: (763) 213-2033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1245630177 |
|---|---|
| LBN Legal business name | Peterson, Jeffrey |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2014 |
| Last updated | Aug 28th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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